Individual
TOMAS NEMICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 S GREENLEAF ST, SUITE 405, GURNEE, IL 60031-5709
(847) 336-3335
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-095330
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-095330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-095330
—
IL
Enumeration date
05/23/2006
Last updated
01/30/2013
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